Should I Take Menstrual Induction Medication? Your Options - Obstetrics and Gynecology

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Should I take menstrual induction medication?


My period started on August 12, and I was supposed to get it again on September 12, but now it's October 10, and I haven't had it for a full two months.
I used condoms throughout, and on September 29, I took a pregnancy test that showed one line.
I took another test on October 2, and it also showed one line.
On October 8, I visited a gynecologist who performed an ultrasound and found no signs of pregnancy.
The doctor prescribed me medication to induce my period.
Should I take it, or should I wait for my period to come naturally? I'm worried that taking the medication might worsen my irregular menstrual cycles.
My periods in June and July were irregular, coming every three weeks, resulting in three periods in those two months, but this time it has been delayed for two months.
Doctor, could my pre-existing irregular cycles be the reason for this delay? Is there still a possibility of pregnancy? Thank you, doctor!

Min Min, 20~29 year old female. Ask Date: 2015/10/12

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
After two pregnancy tests conducted at least 15 days after sexual intercourse, the results can be trusted, indicating that there is no pregnancy.

2.
Since there has been irregular menstruation, it is advisable to take medication to induce menstruation, at least to expel the menstrual blood that is already present in the uterus.
If one waits for it to occur naturally, it may continue indefinitely.

3.
Indeed, there has been irregular menstruation for several months.
It is recommended to maintain a regular schedule, ensure adequate sleep, avoid excessive stress, and engage in moderate exercise to facilitate the restoration of normal menstrual cycles.

Respectfully, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/12

More Info


When considering whether to take menstrual induction medication, it's essential to understand your individual situation and the potential implications of such treatment. Based on your description, you have experienced a significant delay in your menstrual cycle, with your last period occurring on August 12 and no menstruation since then, despite negative pregnancy tests. You have also mentioned a history of irregular menstrual cycles, which can complicate the decision-making process.

Firstly, it is crucial to recognize that menstrual irregularities can stem from various factors, including hormonal imbalances, stress, changes in weight, and underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Given that you have experienced irregular cycles in the past, this may suggest that your body is prone to fluctuations in menstrual regularity. The fact that you had three menstrual cycles in June and July, followed by a two-month delay, could indicate that your menstrual cycle is inherently irregular.

Regarding the use of menstrual induction medication, such as progestin or other hormonal treatments, these medications can help stimulate the onset of menstruation. However, they are typically prescribed after a thorough evaluation of the underlying causes of amenorrhea (the absence of menstruation). Since your doctor has performed an ultrasound and found no signs of pregnancy, it may be reasonable to consider the medication, especially if your doctor believes it is appropriate for your situation.

That said, you expressed concerns about the potential for worsening irregularities in the future. It's valid to be cautious about introducing hormonal medications, particularly if you have a history of irregular cycles. Hormonal treatments can sometimes lead to side effects, including changes in cycle regularity, mood swings, and other hormonal-related symptoms. Therefore, it is essential to have an open discussion with your healthcare provider about your concerns. They can provide insights into the expected outcomes of taking the medication versus waiting for your cycle to return naturally.

If you choose to wait for your period to return on its own, it is essential to monitor your body for any additional symptoms or changes. If you experience significant discomfort, unusual symptoms, or if your period does not return within a reasonable timeframe, it would be prudent to follow up with your healthcare provider.

As for the possibility of pregnancy, since you have taken multiple pregnancy tests that have returned negative results, it is unlikely that you are pregnant. However, if you continue to have concerns about pregnancy or if your menstrual irregularities persist, it may be beneficial to discuss further testing or evaluation with your doctor.

In summary, the decision to take menstrual induction medication should be made in consultation with your healthcare provider, considering your medical history, current symptoms, and personal preferences. Open communication with your doctor will help ensure that you make an informed choice that aligns with your health needs and concerns.

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